| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $769.96 | $769.96 | $769.96 | |
Aetna
| Professional | $769.96 | $769.96 | $769.96 | |
CareFirst
| Professional | $775.00 | $775.00 | $987.48 | |
Cigna
| Professional | $658.92 | $658.92 | $658.92 | |
Kaiser Permanente
| Professional | $938.95 | $938.95 | $2,867.49 | |
United
| Professional | $480.44 | $720.66 | $1,020.94 |